Jared Wilson Luke, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA060528 Issued in PA

Practice address

501 Office Center Dr Ste 195
Fort Washington, PA 19034-3268

Phone

(215) 836-7900

Fax

(215) 836-7923

NPI assigned

Mar 6, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology of Pennsylvania, PCGroup PAC ID 5799091690, 29 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.36 of 100Reported as group

Quality

83.84

Promoting interoperability

85

Improvement activities

40

Cost

59.85

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Dermatology of Pennsylvania, PC

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1740671767
  Medicare reassignment Care Compare group
• Andrew K Pollack

  • Dermatology Physician
  • Fort Washington, PA
  • NPI 1760555924
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1366900607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 OFFICE CENTER DR STE 195",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343268",
            "telephone_number": "215-836-7900",
            "fax_number": "215-836-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 OFFICE CENTER DR STE 195",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343268",
            "telephone_number": "215-836-7900",
            "fax_number": "215-836-7923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1811 Bethlehem Pike Ste A101",
            "address_purpose": "LOCATION",
            "city": "Flourtown",
            "state": "PA",
            "postal_code": "190311111",
            "country_code": "US",
            "telephone_number": "215-254-7070",
            "fax_number": "215-254-7079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUKE",
        "first_name": "JARED",
        "middle_name": "WILSON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-06",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Love Health DPC, PLLC
• Andrew Lubell, MD
• Rebecca Lubin
• Jenny Lugo, MD
• Kimberly Tze-Jay Lui, PHARMD
• Joseph M Lynch, M.D.
• Heather Macalis, MS, OTR/L
• Maria Maddalo, PSY.D.
• Constance Magola, LPN
• Suzette Maigan

• Physician Assistant in Fort Washington, PA
• Providers in Fort Washington, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.